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Medicare Defined Swing Bed Unit
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NPI 1275662546
● Active Type 2 · Organization
Subpart
St Lukes Wood River Medical Center Ltd
Medicare Defined Swing Bed Unit · Ketchum, ID · NPI 1275662546
·
Enumerated 2007 · 19 years on NPI
St Lukes Wood River Medical Center Ltd is 1 of 20 medicare defined swing bed unit organizations in Idaho.
NPI age
19 years
Enumerated 2007-03-05
Primary specialty
Medicare Defined Swing Bed Unit
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fowler
Senior Vp, Cfo
Last NPPES update
2026-04-23
Source: monthly bulk 2026-05
How this organization compares
Across 20 active medicare defined swing bed unit providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-03 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
100 Hospital Dr
Ketchum, ID 833409998
📞 2087882222
Mailing address
Po Box 2777
Boise, ID 837012777
📞 2083812333
Authorized official
Kathryn Fowler
Senior Vp, Cfo
📞 2083818717
Individual providers at this organization
20 individual providers on file at this primary practice address.
James Abbott , MD
Dermatology
NPI 1518490283
Charlotte Alexander , MD
Orthopaedic Surgery
NPI 1811933963
Hadi Bhurgri , MD
Internal Medicine
NPI 1124388947
Christopher Bodle , M.D.
Emergency Medicine
NPI 1720407232
Teresa Brennan , R.D.
Dietitian, Registered
NPI 1700032000
Katherine Buckley , MD
Emergency Medicine
NPI 1649808718
Blair Choate , BSN
Registered Nurse
NPI 1295569036
James Cleveland , CRNA
Nurse Anesthetist, Certified Registered
NPI 1265624290
Ashlyn Cooper , PHARMD
Pharmacist
NPI 1659024594
Pamela Dick , MS, RD, CDCES
Dietitian, Registered
NPI 1598947368
Kelly Dilorenzo , M.D.
Emergency Medicine
NPI 1376937318
John Driscoll , CRNA
Nurse Anesthetist, Certified Registered
NPI 1437341468
Caitlin Ferry , M.S., CCC-SLP
Speech-Language Pathologist
NPI 1083164917
Frank Fiaschetti , MD
Surgery
NPI 1376568212
Jennie Hooper , M.D.
Emergency Medicine
NPI 1417395021
Autumn Loomis , MD
Emergency Medicine
NPI 1457676314
Royal McClure , MD
Internal Medicine
NPI 1093768368
Lorena McClusky , RPH
Pharmacist
NPI 1619515814
David Nicholson , C.R.N.A.
Nurse Anesthetist, Certified Registered
NPI 1912985755
Joanna Peters
Nurse Practitioner
NPI 1356885982
Specialties
Medicare Defined Swing Bed Unit
Primary
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
ID license #62 taxonomy 275N00000X
Identifiers
Type Value Notes
01 (ID)
62
STATE LIC #
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
ST LUKES WOODRIVER SWINGBEDS
Type code 3
recorded 2018-11-28
ST LUKES WOODRIVER SWINGBEDS
Type code 3
recorded 2016-06-22
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Subpart of St Lukes Health System Ltd .
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.